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    v1.0.28
    OpenPayerNPI Medicare & MedicaidByron Cook
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    Byron Cook — Billing Profile & Reimbursement Data

    NPI 1063670644 · Cumming, GA · Ophthalmology Physician

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    Byron Cook is a ophthalmology physician provider located in Cumming, Georgia. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationByron Cook
    Address1505 Northside Blvd
    CityCumming
    StateGA
    ZIP30041
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 30, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$273.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…360$370$132.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.100$290$29.9K
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.20$1,000$22.1K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…220$90$19K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…40$520$18.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.190$100$18.1K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…220$60$13K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…250$30$8.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…80$90$7.2K
    92025The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.90$20$2.1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984134410190$160$103.1K
    66991144030$1,620$60.1K
    6577871030$980$51.1K
    668217527060$210$20.9K
    92014289850130$80$19.7K
    992148,18213,640120$80$17.8K
    9201210338090$60$10.5K
    9213437262070$30$7.1K
    920042664040$90$5.9K
    9213670240150$20$5K

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Byron Cook, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven LeffGAOphthalmology Physician$1.4M$0
    Douglas DayGAOphthalmology Physician$322.7K$0
    Jason BrodyGAOphthalmology Physician$235.3K$0
    Richard MauerFLOphthalmology Physician$195.4K$10K
    Joseph WalrathGAOphthalmology Physician$193.2K$0
    James HaysGAOphthalmology Physician$183.9K$0
    Jenna YoderGAOphthalmology Physician$112K$0
    Kareem SioufiGARetina Specialist (Ophthalmology) Physician$93.2K$0
    Dennis CosgroveTNOptometrist$85.2K$0
    Sameerah AliGAOphthalmology Physician$49.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Byron Cook, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Center For Joint Surgery, LLCGAAmbulatory Surgical Clinic/Center$8.4M$0
    Sri Krishna MukkamalaGAHospitalist Physician$3.4M$0
    Gregory LeeGAOphthalmology Physician$2.9M$6.3K
    Gregg SoiferGAPhysical Medicine & Rehabilitation Physician$814.4K$0
    Charles DecookGAOrthopaedic Surgery Physician$759.9K$0
    Forsyth Eye Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$689K$0
    Georgia Interventional Pain - C, LLCGAAmbulatory Surgical Clinic/Center$659.4K$0
    Angie RinkGAProfessional Counselor$0$541.3K
    Bhaskar ReddyGACardiovascular Disease Physician$521.6K$0
    Julia BranchGAFamily Nurse Practitioner$488.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Byron Cook — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia